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Competence based assessment - Case Study Example

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Summary
Brian’s current mood episode falls under major depressive episode as he has problems with sleeping and eating, trouble concentrating, loss of energy and death thoughts. Brian’s condition meets the following standard criteria for major depressive episode:
Based on the…
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Competence based assessment
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Competence Based Assessment Competence Based Assessment Mood Episode Brian’s current mood episode falls under major depressive episode as he has problems with sleeping and eating, trouble concentrating, loss of energy and death thoughts. Brian’s condition meets the following standard criteria for major depressive episode:
Depressed mood most of the day. Especially it is worse in the mornings and gets slightly better during evening.
Diminished interest or pleasure in all. As told by his wife, Brain has lost interest in almost everything. He finds no enjoyment in doing anything.
Significant weight loss.
Insomnia. He is unable to sleep after 2am.
Psychomotor agitation. During the interview he could sit stable and had to walk to the window several times.
Fatigue
Disorder and Severity Code
Based on the building blocks (mood episode), major depressive disorder is the appropriate disorder for Brian. Brian is suffering from major depressive disorder; single episode severe without psychotic features and the severity code is 296.23.
Brian’s quality of mood is lower than normal where he is depressed most of the time.
Even though there isn’t an exact time frame it is clear from the case study that mood episodes have existed for more than 2 weeks. Brian has felt bad from most of the day and everyday as per the observations.
Symptoms
Brain is experiencing numerous symptoms such as his body functioning has deteriorated. He experiences fatigue and loss of energy along with sleeplessness. He wakes up as early as 2am and finds difficult to sleep after that. He has lost appetite and considerable amount of weight. He is not interested in anything and worrying is only what he does. He has experienced increased levels of anxiety about his health. He also has psychomotor agitation. He is constantly tired and feels himself unworthy of anything.
Impairments
His everyday life and routine is severely affected by the disorder. He is not able to work in the farm as he is used to earlier and this puts him and his family in a poor financial situation. Working at farm which he did on a regular basis is now starting feel as burden.
Exclusions
There isn’t any particular exclusion that is applicable to Brian’s case.
The complete diagnosis of Brian would be according to Axis I. Read More
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